Provider Demographics
NPI:1588966527
Name:BOSIER, ROXIE D (APRN-FNP)
Entity type:Individual
Prefix:
First Name:ROXIE
Middle Name:D
Last Name:BOSIER
Suffix:
Gender:F
Credentials:APRN-FNP
Other - Prefix:
Other - First Name:ROXIE
Other - Middle Name:D
Other - Last Name:WATTS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:566 KENT ST
Mailing Address - Street 2:
Mailing Address - City:SPARTANBURG
Mailing Address - State:SC
Mailing Address - Zip Code:29301-5237
Mailing Address - Country:US
Mailing Address - Phone:864-590-6932
Mailing Address - Fax:864-949-3653
Practice Address - Street 1:218 E BLACKSTOCK RD
Practice Address - Street 2:
Practice Address - City:SPARTANBURG
Practice Address - State:SC
Practice Address - Zip Code:29301-2607
Practice Address - Country:US
Practice Address - Phone:864-576-8646
Practice Address - Fax:864-576-8932
Is Sole Proprietor?:No
Enumeration Date:2010-11-24
Last Update Date:2019-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4217363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily